Health Net is experiencing increased call volume in the Provider Services Center due to new plans and membership. This is temporarily resulting in longer wait times for callers. Accordingly, Health Net strongly encourages providers to use online resources to verify member information. Log in to provider.healthnet.com and select Patient Information to search and verify specific member eligibility, copayments, claims status, and other services. Under Benefits, select Schedule of Benefits link to locate specific member benefits information. Online resources are available 24 hours a day, seven days a week.
For Medi-Cal members, providers may also verify eligibility using the EDS Point of Service (POS) device, CERTS software or Affiliate Computer Services (ACS), the Medi-Cal eligibility website at www.medi-cal.ca.gov:
If you are unable to verify eligibility using these methods, you may call the applicable Health Net Provider Services Center to speak with a representative.
If a patient is deemed ineligible, providers may choose to render services to the patient as they would for any potentially ineligible individual. Providers should direct the patient to contact the Health Net Member Services Department as listed on the back of his or her identification (ID) card or on the member portal of www.healthnet.com.
To provide you with the most accurate plans and information in your area, we need to know your location. Please enter a ZIP code for Arizona, California, Oregon, Washington.
To provide you with the most accurate plans and information in your area, we need to know your location. Please enter a ZIP code for Arizona, California, Oregon, or Washington.